1982, 01-04 Permit: 82B0026 Relocate Residence(PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT
) C I�l.il�i
BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3. � � L
4.
ADDRESS
- 7 - 4 - - COONNTRACTOR
L— \�3E� —s -(
PHONE
4Sc'(--4`
ZIP
7
PHONE
ADDRESS
DESIGNER
ADDRESS
6.
CHANGE OF USE FROM
TO
PARCEL NUMBER /S E AG U� T1, t3c,j' o F t—O 're
ZIP
PHONE
ZIP
Lid 3 -- e-,73C
Actual Set Backs in Feet
North a 'South
Size of Parcel
e-lCi x ,1.3S
Type Const.
Valuation
(.sg340
Main Floor
1'40
Occupancy
East 'West
Zone Classification
AUZICL`ck.1RAL—
Sprinklered
❑Yes ❑NO ❑ Req'd.
Upper Floors
Building Area in Sq. Ft.
4
Garage Area
Storage
Area of Decks
Finished Basement
TYPE
7, OF
WORK
g NEW
❑ ALT.
BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL. iSd MVE.
❑ M.H. ❑ POOL
DESCRIBE WORK
VALUATION SOURCE GAS ELECTRIC
OF
9. UTILITIES
I hereby certify that I have read and examined this ap
on reverse side, and know the same to be true and corr
type of work will be complied with whether specified here
to give authority to violate or cancel the provisions of any ot
performance of construction. SEE REVERSE SIDE FOR REQUI
o =aths
No. Stories
No. Rooms
Unfin. Basement
140
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership �/
Public ❑ Private uW
USE CODE
the "NOTICE" provisions included
of laws and ordinances governing this
ot. granting of a permit does not presume
ate or local law regulating construction or the
INSPECTIONS
DATE OF APPLICATIONC— NATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env ealth
- it /1/3/
Plan ing
Fire Marshall
Co. ngine
Utilities /�/ <'C/
/2/30
ns E aminer
list
Building Technician
SPECI CONDITIONS:
JAt..,t44Ttoi'J F1Clu, tJt= ivi.5EtE1J
Req'd.
novE-D To
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building . GG
Plumbing
aach.
Plan Check
SEPA
Mobile Home
Other (Specify iCC• 0%
�KL At l�l fc.E
TOTAL $ ( c
PERMIT NUMBER
02* *16200
* 16200
* 162006
*000
A
306,2-2
12 -30 -81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01,704-82
DATE ISSUED
-
L26z *1620'00 _J�
PERMIT NO. TOTAL
ALY-_\
■
N
IZE'�-�i�cyVC.t